Assessment of Aircrew Head Injury Protection After Helmet Liner Modification

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Assessment of Aircrew Head Injury Protection After Helmet Liner Modification
USAARL-CNPA-BC--2022-07

UNITED STATES ARMY AEROMEDICAL RESEARCH LABORATORY

Assessment of Aircrew Head Injury
Protection After Helmet Liner Modification

Shelby N. Sous, Greg A. Ganz, Katie P. Logsdon, &
Frederick T. Brozoski

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Assessment of Aircrew Head Injury Protection After Helmet Liner Modification
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Assessment of Aircrew Head Injury Protection After Helmet Liner Modification
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Assessment of Aircrew Head Injury Protection after
Helmet Liner Modification                                                                                         5b. GRANT NUMBER

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Sous, S. N.1,2, Ganz, G. A.1,3, Logsdon, K. P.1, & Brozoski, F. T.1                                                                         MOMRP17090
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13. SUPPLEMENTARY NOTES
1U.S.Army Aeromedical Research Laboratory; 2Katmai Health Services, Anchorage, AK; 3Oak Ridge Institute for Science and
Education
14. ABSTRACT
U.S. Army aviators experiencing difficulty attaining a comfortable helmet fit are referred to the U.S. Army Aeromedical Research
Laboratory’s ProblemFit (PROFIT) program. USAARL PROFIT personnel make modifications to the comfort liner to
accommodate atypical head anthropometry to achieve a more user-specific fit. Effects of these modifications on blunt impact
performance of the HGU-56/P Aircrew Integrated Helmet System (AIHS) and head injury protection are unknown. It is important
for these effects to be quantified and the risks associated with modifications to be understood by USAARL PROFIT personnel, the
aviator, and aviation leadership. Through a USAARL PROFIT records audit, two approved comfort liners were selected for
modification in the HGU-56/P AIHS: Super Comfort Liner™ (SCL) and Thermal Plastic Liner® (TPL). In order to evaluate a
“worst-case scenario” modification the two inner-most layers of thermoplastic material were removed from each liner. Helmets were
tested according to HGU-56/P AIHS Purchase Description (DoD, 1996) using a monorail drop tower (ANSI, 1966).
15. SUBJECT TERMS
HGU-56/P, AIHS, ThermoPlastic Liner, TPL®, Super Comfort Liner, SCL™, helmet problem fit, modified comfort liner,
blunt impact protection

16. SECURITY CLASSIFICATION OF:                                17. LIMITATION OF              18. NUMBER 19a. NAME OF RESPONSIBLE PERSON
 a. REPORT b. ABSTRACT c. THIS PAGE                                ABSTRACT                       OF      Loraine St. Onge, PhD
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  UNCLAS               UNCLAS               UNCLAS                                                   22                                      334-255-6906
                                                                                                                                                   Standard Form 298 (Rev. 8/98)
                                                                                                                                                   Prescribed by ANSI Std. Z39.18
Assessment of Aircrew Head Injury Protection After Helmet Liner Modification
REPORT DOCUMENTATION PAGE (SF298)
                                               (Continuation Sheet)

14. Abstract (continued)
The monorail drop tower was instrumented to collect three channels of data: impact velocity, headform acceleration, and impact force. Helmet
blunt impact performance was assessed using the peak headform acceleration for each impact. Two test series were conducted. Series one
consisted of six helmets each of the modified SCL™ and modified TPL® tested in the hot environmental condition. Series two consisted of six
helmets with the modified TPL® tested in the ambient condition. In series one, the modified SCL™ helmets tested in the hot environmental
condition peak headform accelerations averaged 112.51G at the crown and 141.63G at the headband. The modified TPL® helmets peak
headform accelerations averaged 112.69G at the crown and 144.71G at the headband. In series two, the modified TPL® helmets peak
headform accelerations averaged 124.16G at the crown and 148.65G at the headband. Results indicated the removal of the two inner-most
layers of the SCL™ or TPL® does not degrade the blunt impact protection of the helmet below the pass-fail threshold of 150G and 175G for
crown and headband impacts, respectively. In an isolated incident, a single helmet failed on rear impact. Helmet orientation and liner
installation are possible contributing factors.
Assessment of Aircrew Head Injury Protection After Helmet Liner Modification
Acknowledgements
        This research was supported in part by an appointment to the Established Scientist
Program at the U.S. Army Aeromedical Research Laboratory administered by the Oak Ridge
Institute for Science and Education through an interagency agreement between the U.S.
Department of Energy and the U.S. Army Medical Research and Development Command.
Assessment of Aircrew Head Injury Protection After Helmet Liner Modification
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Assessment of Aircrew Head Injury Protection After Helmet Liner Modification
Assessment of Aircrew Head Injury Protection
               after Helmet Liner Modifications

            Shelby N. Sous1,2, Greg A. Ganz1,3, Katie P. Logsdon1, Frederick T. Brozoski1

                         1U.S.Army Aeromedical Research Laboratory, Fort Rucker, AL
                             2Katmai Government Solutions, LLC, Anchorage, AK
                         3Oak Ridge Institute for Science and Education, Oak Ridge, TN

USAARL                                            UNCLASSIFIED                              1
Assessment of Aircrew Head Injury Protection After Helmet Liner Modification
The views, opinions, and/or findings contained in this briefing are those of
         the author(s) and should not be construed as an official Department of the
         Army position, policy, or decision, unless so designated by other official
         documentation. Citation of trade names in this presentation does not
         constitute an official Department of the Army endorsement or approval of
         the use of such commercial items.

USAARL                                     UNCLASSIFIED                                 2
Assessment of Aircrew Head Injury Protection After Helmet Liner Modification
This research was supported in part by an appointment to the
         Postgraduate Program at the U.S. Army Aeromedical Research Laboratory
         administered by the Oak Ridge Institute for Science and Education through
         an interagency agreement between the U.S. Department of Energy and the
         U.S. Army Medical Research and Development Command.

USAARL                                    UNCLASSIFIED                           3
A
         1960s: Aircrew Protection Helmet Number 5 (APH-5)
             • Hard shell aviation helmet
             • Leather-covered foam pads
         1969: Sound Protection Helmet Number 4 (SPH-4)
             • Sling suspension system                                  B               C

         1984: Integrated Helmet and Display Sighting System (IHADSS)
             • Front and rear pads
             • Inner basket assembly, vertically adjusted
             • Brow and nape pads
                                                                            D           E

USAARL                                         UNCLASSIFIED                         4
The Evolution of Helmet Fitting (Continued)

                                                                      A
         Mid-1980s: SPH-4 Conversion Kits
              • Kit to modify to sling suspension
              • Gentex ThermoPlastic Liner (TPL®) introduced
                  • Decrease headaches and hotspots
                  • Improve helmet stability
                                                                      B
         1989: SPH-4B
               • Standard issue with TPL®
         1995: Head Gear Unit Number 56 Personal (HGU-56/P) Aircrew
               Integrated Helmet System (AIHS)
               • Standard issue with TPL®
                                                                      C
         Alternative Liners
               • Gentex Super Comfort Liner (SCL™)
               • 2008: Oregon Aero Zeta II®

USAARL                                        UNCLASSIFIED                5
Helmet Fitting Issues

         • Among aviators, individual anthropometric variability
           incongruent with standard helmet fitting is the primary source
           of discomfort.
         • Extended duration of the “normal flight mission”
             • Creates expected discomfort from head-borne mass
             • Exacerbates pre-existing discomfort
         • Subset of U.S. Army aviators continue to have problems
           achieving a comfortable and safe helmet fit even with standard
           adjustments or helmet liners.

USAARL                                UNCLASSIFIED                          6
USAARL PROFIT

         •   A safe and comfortable fit is considered mission critical in aviation.
         •   U.S. Army Aeromedical Research Laboratory (USAARL) Problem Fit (PROFIT) program
                •   Helmet fitting services for helmet fitting issues for the last 25+ years (Program
                    Executive Officer Aviation [PEO-AVN], 1996)
         •   If unit Aviation Life Support Equipment (ALSE) technicians cannot resolve issues with
             basic modifications, aviators are referred to the USAARL PROFIT program for
             evaluation.
         •   USAARL PROFIT technicians are authorized to make minor modifications to TPLs® and
             SCLs™.
                •   Unique head anthropometry and specific complaint (e.g., hotspots, headaches) are
                    considered in PROFIT assessments for liner modification.
                     • Examples: Removing portions of one or multiple layers, removing a whole
                        layer
         •   There are limited data available to determine if these modification influence blunt impact
             protection.
USAARL                                               UNCLASSIFIED                                       7
Study Objective

         • Quantify the effects of helmet liner modifications on the
           blunt impact protection provided by the HGU-56/P AIHS

         • Comparing blunt impact attenuation testing results of
           helmets with modified TPL® and SCL™ liners to
           standard pass/fail criteria

USAARL                             UNCLASSIFIED                    8
Common PROFIT Modifications

         • An audit of PROFIT records was conducted.
         • Researchers identified the most common PROFIT modification
           techniques used in the program:
              • Removal of the two inner-most layers of thermoplastic material from
                either the TPL® or the SCL™ was the most frequent modification.
         • Other documented modifications removed portions of either the first or
           second thermoplastic layers, or both.
         • No modifications were documented where the two outer-most
           thermoplastic layers were altered.

USAARL                                     UNCLASSIFIED                             9
Liner Modifications

         • A single helmet liner modification was selected for evaluation.
             • Removed the two inner-most layers of the TPL® and SCL™ liners.
                •   This modification represented the most frequent and “worst-case” scenario.
             • Custom fitting instructions from section 4-12 of the HGU-56/P AIHS
               operator’s manual (Department of the Army [DA], 1996) were
               modified:
                •   Modified TPLs® and SCLs™ liners were heated in a 200⁰ Fahrenheit (F) oven.
                •   Heating time was reduced from 10 minutes to 8 minutes based on the reduced
                    number of layers.
                •   Liners were installed in new HGU-56/P AIHSs.
                •   Helmets were donned on a spare headform and positioned upside down. The
                    weight of the headform simulated the downward pressure typically applied by
                    the wearer.

USAARL                                         UNCLASSIFIED                                      10
Test Methodology

         • To maximize test assets, modifications were made to the
           standard methodology.
             • Each helmet was impacted in 5 of the 7 locations:
                • Crown
                • Headband regions (front, rear, left headband, and right
                  headband).
             • Earcup impacts were omitted.
             • The 5 impacts were separated into “For Record” and
               “Supplemental.”
                •   “For Record impacts” – first 3 impacts to each helmet defined in the purchase
                    description (DOD, 1996)
                •   “Supplemental” – the additional 2 impacts to each helmet

USAARL                                          UNCLASSIFIED                                        11
Test Methodology

         • Liner modification evaluations were divided into 2
           series.
             • Series 1: 12 size small HGU-56/P AIHSs were
               tested after hot conditioning (122° F) for a minimum
               of 4 hours. Results were used to down-select for series 2.
                • Six helmets with modified TPL®
                • Six helmets with modified SCL™
             • Series 2: 6 size small HGU-56/P AIHSs were tested
               in ambient conditions (60° to 80° F) with a modified
               TPL® only.

USAARL                                 UNCLASSIFIED                     12
Blunt Impact Attenuation Testing

         •   “For Record” impacts were completed according to the HGU-56/P
             AIHS purchase description (Department of Defense [DoD],1996).
         •   A free fall monorail drop tower conforming to Federal Motor Vehicle
             Safety Standard (FMVSS) 218 (Department of Transportation
             [DoT], 2006) was used.
         •   Headband impacts (front, rear, left headband, and right headband )
             were conducted at an impact velocity of 19.7 feet per second (fps).
         •   Crown impacts were conducted at an impact velocity of 16.0 fps.
         •   Impact was made on a flat steel anvil at the base of the drop tower.
         •   Headform acceleration, impact force, and impact velocity were
             recorded for each drop test.

USAARL                                               UNCLASSIFIED                   13
Data Analysis

         •   Headform acceleration data collected during each
             blunt impact test were filtered according to Society
             of Automotive Engineers (SAE) Standard Practice
             J211-1 Part 1 (SAE, 1995).
         •   Peak headform accelerations were extracted from
             each filtered acceleration signal.
         •   Blunt impact protection was assessed by comparing
             the peak headform accelerations to the pass/fail
             criteria specified in the HGU-56/P AIHS purchase
             description (DoD, 1996).

USAARL                                                UNCLASSIFIED   14
Series 1: Small HGU-56/P AIHS with TPL® (hot conditioning)

                                                                      ⁰

USAARL                                   UNCLASSIFIED                     15
Series 1: Small HGU-56/P AIHS with SCLTM (hot conditioning)

                                                                       ⁰

USAARL                                   UNCLASSIFIED                      16
Data Analysis and Results

         • Series 1 results were evaluated using a two-factor analysis of variance
           (ANOVA) with the Tukey multiple comparison method for the effects of
           helmet liner type and impact site on peak headform acceleration (p <
           0.05).
         • The two-way ANOVA tested for the equality of the mean peak headform
           acceleration for each liner type and impact site.
         • The ANOVA results were used to determine which modified liner would be
           used for Series 2.
              • Only the rear impact location showed a significant difference
                between the mean peak headform accelerations measured with the
                TPL® versus the SCL™ (p=0.006)
              • The TPL® was chosen for ambient blunt impact evaluation for Series
                2.

USAARL                                    UNCLASSIFIED                           17
Series 2: Small HGU-56/P AIHS with TPL® (ambient conditioning)

USAARL                                     UNCLASSIFIED                   18
Discussion

         •   Removing the two inner-most layers of thermoplastic material from TPLs® and SCLs™
             did not adversely affect the impact protection provided by the HGU-56/P AIHS.
         •   HGU-56/P AIHS size small modified TPL® and SCL™ helmet liners were shown to meet
             the blunt impact requirements outlined in the HGU-56/P AIHS purchase description
             (DoD, 1996).
               •   Three rear impacts (one “For Record” and two “Supplemental”) on HGU-56/P
                   AIHSs with modified liners conditioned at 122° F resulted in a peak headform
                   acceleration above the specified pass-fail criterion (DoD, 1996).
               •   Results of all rear impacts indicate that the one “For Record” peak headform
                   acceleration exceeding 175 Gs may be an outlier, as other previously-damaged
                   (“supplemental” impacts) helmets fitted with modified TPLs® were shown to
                   provide the required level of impact protection.

USAARL                                            UNCLASSIFIED                                    19
Conclusions

         • Per current fitting guidance, a four-layer TPL® or SCL™ is
           required to be worn in the HGU-56/P AIHS (DA, 1996).
         • Removing the two inner-most layers of thermoplastic material
           from TPLs® and SCLs™ did not adversely affect the impact
           protection provided by the HGU-56/P AIHS.
         • Currently, such advanced liner removal or modifications should
           only be made by trained USAARL PROFIT Program
           technicians.

USAARL                                UNCLASSIFIED                      20
Questions

         For details, see Brozoski, F. T., Ganz, G., Sous, S., Gomez, J., & Logsdon, K. (2020).
             Assessment of HGU-56/P aircrew integrated helmet System (AIHS) blunt impact
             protection after liner modifications (USAARL-TECH-FR--2020-018). U.S. Army
             Aeromedical Research Laboratory.

USAARL                                             UNCLASSIFIED                                   21
U.S. Army Aeromedical Research Laboratory
           Fort Rucker, Alabama

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